Individual
KRISTEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
1015 2ND ST NE APT 110, HOPKINS, MN 55343-8342
(218) 256-1671
Mailing address
1015 2ND ST NE APT 110, HOPKINS, MN 55343-8342
(218) 256-1671
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 202784-5
MN
363LG0600X
Gerontology Nurse Practitioner
R 202784-5
MN
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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